Healthcare Provider Details

I. General information

NPI: 1669317616
Provider Name (Legal Business Name): ADRIANA ASSENTI RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 W LA VETA AVE
ORANGE CA
92868-4203
US

IV. Provider business mailing address

923 S PAULA LN
ANAHEIM CA
92805-5641
US

V. Phone/Fax

Practice location:
  • Phone: 714-583-6810
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86293778
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: